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Katara M Moffett
Community Based Hospice Care Agency in Wauwatosa, Wisconsin
NPI 1518653534

Katara M Moffett is a Community Based Hospice Care Agency based in Milwaukee, WI. Katara M Moffett practices in Wauwatosa, WI. The NPI Number for Katara M Moffett is 1518653534 and holds a License No. (Wisconsin).

The current practice location address for Katara M Moffett is 741 N 112Th St, Wauwatosa, WI and can be reached out via phone at 414-499-7873.

Location: 741 N 112Th St, Wauwatosa, WI, 53210-3040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518653534
Provider Name
Katara M Moffett
Credential
Provider Entity Type
Individual
Gender
Female
Address
741 N 112Th St, Wauwatosa, WI, 53210-3040
Phone Number
414-499-7873
Fax Number
Provider Enumeration Date
04/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
741 N 112Th St
City
Wauwatosa
State
Wisconsin
Zip
53226-3741
Phone Number
414-499-7873
Fax Number
person
Provider Business Mailing Address Details
Address
741 N 112Th St
City
Wauwatosa
State
Wisconsin
Zip
53226-3741
Phone Number
414-499-7873
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
()
Definition
Definition to come...
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